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1225304256
KIMBERLY LEE STUCKEY
O FALLON, MO
NPI
1225304256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2000146835)
Enumeration Date
2012-03-23
Last Update Date
2012-03-23
Business Address
-- KIMBERLY LEE STUCKEY LPC
103 LINCOLN ST
O FALLON, MO 63366-1603
Phone number: 636-978-6901
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Mailing Address
-- KIMBERLY LEE STUCKEY LPC
103 LINCOLN ST
O FALLON, MO 63366-1603
Phone number: 636-978-6901
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